Individual provider Active NPI

Heather Marie Morin, AGNP-C

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1477367993
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-83775-112 Issued in KS
Practice address
3343 W Central Ave
Wichita, KS 67203-4917
Phone
(316) 260-4110
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-83775-112 KS Primary

Addresses

Primary practice location

3343 W Central Ave
Wichita, KS 67203-4917

Mailing address

600 W Nelson St
Edgerton, KS 66021-2317
Phone (913) 515-2621

Other identifiers 2

IdentifierTypeStateIssuer
53-83775-112OtherKSAGNP-C LICENSE NUMBER
13-125984-112OtherKSREGISTERED NURSE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227002949 KS Practitioner - Nurse Practitioner 4183144595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hermes Healthcare PAGroup PAC ID 4284953399, 12 clinicians

Practice addresses (Care Compare)

3343 W Central Ave
Wichita, KS 67203-4917
Phone (316) 260-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-83775-112KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hermes Healthcare PA Nurse Practitioner CurrentSince Feb 17, 2025 Accepting new patients

Locations

3015 N Penstemon St
Wichita, KS 67226
Phone (316) 440-8383

3343 W Central Ave
Wichita, KS 67203
Phone (316) 260-4110

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1477367993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W NELSON ST",
            "city": "EDGERTON",
            "state": "KS",
            "postal_code": "660212317",
            "telephone_number": "913-515-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034917",
            "telephone_number": "316-260-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-83775-112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGNP-C LICENSE NUMBER",
            "identifier": "53-83775-112",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE NUMBER",
            "identifier": "13-125984-112",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.